Smart diabetes hospital

To evaluate the impact of a proactive action of a specialized diabetes team (SDT) on different health outcomes in patients hospitalized in high complexity surgery units, including solid organ transplant surgical units, of a tertiary hospital. Nested case control study matched (1:1) by age and gender...

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Detalles Bibliográficos
Autores: Simó-Servat, Olga|||0000-0003-3483-652X, Amigó, Judit|||0000-0003-2407-1906, Ortiz Zúñiga, Ángel Michael|||0000-0002-2982-5896, Sánchez, Mónica, Cuadra, Fátima, Dos Santos, Marcos, Rojano-Toimil, Alba|||0000-0002-2446-1827, Abadías, Maria José, Roman Broto, Antonio|||0000-0002-9417-3484, Hernández, Cristina|||0000-0002-3109-1721, Simó Canonge, Rafael|||0000-0003-0475-3096
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:dnet:uabarcelona_::900f0a3d03563e3ad270d9625ee0dea8
Acceso en línea:https://ddd.uab.cat/record/328094
https://dx.doi.org/urn:doi:10.1007/s00592-024-02370-6
Access Level:acceso abierto
Palabra clave:Smart Diabetes Hospital
Specialized Diabetes Team
Management of hyperglycemia in the hospitalized patients
Length of stay of hospitalised patients with diabetes
Diabetes
Descripción
Sumario:To evaluate the impact of a proactive action of a specialized diabetes team (SDT) on different health outcomes in patients hospitalized in high complexity surgery units, including solid organ transplant surgical units, of a tertiary hospital. Nested case control study matched (1:1) by age and gender. The control group consisted of patients (n = 120) who were under the standard of care diabetes management admitted three months' prior the cases. The cases were admitted in the same surgical units (n = 120) and were treated in the setting of the so called "Smart Diabetes Hospital" (SDH) consisting in a SDT that prioritized their actions through a digital map showing blood glucose levels obtained during the previous 24 h. SDH implementation resulted in a significant reduction in both blood glucose levels (mean 162.1 ± SD 44.4 vs. mean 145.5 ± SD 48.0; p = 0.008) and hypoglycaemic episodes (19.7% vs. 8.4%: p = 0.002). Furthermore, a reduction of 3 days in the length of stay (LOS) was observed (15.6 ± 10.3 vs. 12.4 ± 6.0), which represents a significant cost-saving. Moreover, more new cases of diabetes were detected during the SDT period (2.5% vs. 6.7%, p = 0.04). SDH is effective in diabetes management and reduce LOS in complex surgical units.

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